Similar to the suprapubic operation in terms of anesthesia and recovery, the retropubic approach is preferred by many surgeons because it allows better access to the prostate and a more accurate approach to the urethra.
What Happens
In retropubic prostatectomy, surgeons go directly through the top of the prostate, rather than through the bladder—first making an incision in the lower abdomen, and then separating the abdominal muscles. Instead of opening the bladder, the surgeon moves it aside, and there, beneath the pubic bone, is the prostate.
A small incision is made in the outer capsule of the prostate, and (as in suprapubic prostatectomy) the surgeon’s index finger is inserted to remove the overgrowth of prostate tissue compressing the urethra. To avoid the development of epididymitis, many surgeons go ahead and perform a vasectomy during this procedure. The prostate tissue removed during surgery is then sent to a pathologist for examination.
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